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Questions and Answers
A patient taking cyclobenzaprine reports experiencing dry mouth and blurred vision. Which of the following mechanisms BEST explains these side effects?
A patient taking cyclobenzaprine reports experiencing dry mouth and blurred vision. Which of the following mechanisms BEST explains these side effects?
- Anticholinergic effects blocking muscarinic receptors responsible for salivary and lacrimal secretions. (correct)
- Increased metabolism of acetylcholine, reducing its availability at neuroeffector junctions.
- Indirect stimulation of the sympathetic nervous system, leading to decreased secretions.
- Direct agonistic effect on cholinergic receptors in salivary and lacrimal glands.
A patient with a history of glaucoma is prescribed cyclobenzaprine for muscle spasms. What is the MOST important consideration for the healthcare provider?
A patient with a history of glaucoma is prescribed cyclobenzaprine for muscle spasms. What is the MOST important consideration for the healthcare provider?
- Cyclobenzaprine can exacerbate glaucoma due to its anticholinergic effects. (correct)
- The patient should use lubricating eye drops while taking cyclobenzaprine
- Glaucoma is not a contraindication for cyclobenzaprine.
- Cyclobenzaprine can improve glaucoma by reducing intraocular pressure.
A patient who has been taking cyclobenzaprine for two weeks reports that their muscle spasms have improved, but they still experience significant drowsiness. Which of the following is the MOST appropriate nursing intervention?
A patient who has been taking cyclobenzaprine for two weeks reports that their muscle spasms have improved, but they still experience significant drowsiness. Which of the following is the MOST appropriate nursing intervention?
- Advise the patient to take an over-the-counter stimulant to counteract the drowsiness.
- Educate the patient about the expected duration of treatment and the importance of avoiding activities requiring alertness. (correct)
- Increase the dose of cyclobenzaprine to achieve better muscle relaxation and reduce reliance on other pain medications.
- Instruct the patient to immediately discontinue cyclobenzaprine use.
A patient is prescribed cyclobenzaprine for acute muscle spasms. The patient's medication list includes sertraline (an antidepressant) and lorazepam (a benzodiazepine). Which of the following potential drug interactions is of GREATEST concern?
A patient is prescribed cyclobenzaprine for acute muscle spasms. The patient's medication list includes sertraline (an antidepressant) and lorazepam (a benzodiazepine). Which of the following potential drug interactions is of GREATEST concern?
A patient with muscle spasms who is prescribed cyclobenzaprine is also taking an antidepressant. Which herbal supplement should the patient be cautioned against using concurrently?
A patient with muscle spasms who is prescribed cyclobenzaprine is also taking an antidepressant. Which herbal supplement should the patient be cautioned against using concurrently?
Flashcards
Cyclobenzaprine Action
Cyclobenzaprine Action
Relieves muscle spasms by acting on the central nervous system.
Cyclobenzaprine Use
Cyclobenzaprine Use
Short-term treatment of muscle spasms (usually less than 3 weeks).
Cyclobenzaprine Side Effects
Cyclobenzaprine Side Effects
Dry eyes and mouth, drowsiness, dizziness, headache, confusion, and allergic reaction.
Cyclobenzaprine Interactions
Cyclobenzaprine Interactions
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Cyclobenzaprine Teaching
Cyclobenzaprine Teaching
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Study Notes
- Antihyperlipidemic & Vasodilators - Unit 6
- Drugs for Muscle Spasms
Cyclobenzaprine
- Relieves muscle spasms by acting on the central nervous system
- Used for short-term treatment of muscle spasms, usually less than 3 weeks
Side Effects include
- Anticholinergic effects like dry eyes and mouth
- Drowsiness, dizziness, headache, and confusion
- Allergic reaction
Contraindications
- Heart disease
- Diabetes
- Glaucoma
Caution Advised with
- Seizure disorders
- CNS depression
Interactions
- Avoid with other CNS depressants
- Avoid Alcohol
- Avoid Antidepressants
- Avoid Kava kava
- Safe to take with food or milk
Assessment
- Monitor vital signs
- Review medical/medication history
- Understand why client is taking medication
Nursing interventions
- Monitor vital signs
- Monitor for CNS side effects
- Ensure patient safety
- Monitor Muscle spasms
Teach
- Do not stop abruptly and wean off medication to prevent rebound spasms
- Avoid alcohol and other CNS depressants
- Do not drive while taking medication
- Utilized for acute spasms and treatment should not exceed 3 weeks
- Inform HCP if pregnant or nursing
Evaluation
- Evaluate muscular pain for decreased or complete relief of pain
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Description
Cyclobenzaprine relieves muscle spasms by acting on the central nervous system. It is typically used for short-term treatment, usually less than 3 weeks and can cause side effects such as drowsiness and dizziness. Caution is advised with seizure disorders and CNS depression.
